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04.11.2014

Tensor tympani myoclonus emedicine, tinnitus tcm herbs - Review

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The stapedius is more sensitive to sound than the tensor tympani, and is thought to be the "dominant sound generated reflex in humans).
There should not be movement of the ear drum in the stapedius myoclonus syndrome, as the stapedius does not insert onto the eardrum but rather onto the stapes.
Bance M, Makki FM, Garland P, Alian WA, van Wijhe RG, Savage J.Effects of tensor tympani muscle contraction on the middle ear and markers of a contracted muscle. Brigo F, Storti M, Lochner P, Nardone R.Transitory stapedial myoclonus in a patient with benign fasciculation syndrome. The stapedius is attached to the stapes (of course -- horseshoe object above), while the tensor tympani is attached to the ear drum.
Patients usually indicate that it makes a "thumping" noise -- like a tympani drum !


According to Bance, tensor tympani function can be measured by detecting changes in middle ear impedence.
The stapedius is innervated by the 7th nerve, and is therefore part of a different circuit than the tensor tympani (5th nerve).
Thus contractions of the tensor tympani may also be accompanied by contraction of the palatal muscles.
The tensor tympani courses through a bony canal in the wal of the anterior middle ear, and attaches to the neck of the manubrium.
As TT myoclonus often can be elicited by a loud noise, an adaptation of this technique (not in use to the author's knowledge) would be to record just after a loud noise. It seems to us that the TT muscle requires considerable local irritation to develop myoclonus, and medications that affect the whole body are unable to reduce such intense local spasms.


Hieronymus Fabricius, an Italian (1533-1619) was the first to propose theories on tensor tympani function. The tensor tympani is innervated by a branch of the mandibular division of cn V, via the otic ganglion.



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